Transcranial electrostimulation as a non-pharmacological method of treating arterial hypertension i degree in young patients Xu Ming1,*, Mamedova Larisa2, Vakolyuk Roza3 1Department of 1st Hospital Therapy, I.M. Sechenov First Moscow State Medical University (Sechenov University), Moscow, RussiaRussian Federation 2Department of Pedagogy and Methods of Primary Education, Nerungri Technical Institute (Branch) of M.K. Ammosov North-Eastern Federal University, Nerungri, RussiaRussian Federation 3Department of 2nd Hospital Therapy, I.M. Sechenov First Moscow State Medical University (Sechenov University), Moscow, RussiaRussian Federation *Corresponding Author E-mail: mingxu28@gmx.com
Online Published on 5 February, 2024. Abstract Purpose The authors determined the efficacy of transcranial electrostimulation (TES) in treating arterial hypertension I degree in young patients and compared it with electrically induced sleep therapy. Materials and Methods The performed study is a prospective randomized controlled trial that enrolled 212 patients aged 18-20years with arterial hypertension I degree. Patients were divided into two groups. Group 1 consisted of 110 patients who underwent transcranial electrostimulationusing a method developed at the Institute of Physiology named after I. P. Pavlov, Russian Academy of Sciences in Saint Petersburg. Group 2 included 112 patients who underwent electrically induced sleep therapy procedures with the orbital-retro mastoidal technique of electrode application in a "sedative" mode. The control group included 45 patients with normal blood pressure. All patients underwent 24-hour ambulatory blood pressure monitoring, determination of central hemodynamic parameters, diurnal heart rate variability, and endothelial function parameters. Results As a result of TES therapy in patients significantly decreased the average diurnal SBP and DBP values, pressure load, normalized the diurnal BP profile, AT, and EF values. As a result of electrosleep therapy, average diurnal SBP, and DBP values decreased unreliably, decreased pressure load, and signs of sympathicotonia, but AT and EF values did not change significantly. TES therapy's effectiveness for treating stage 1 hypertension in young patients is significantly higher by 1.9 times in comparison with electrosontherapy. Conclusion This study has shown that the TES treatment is more effective than traditional non-pharmacological electrosleep therapyin a "sedative" mode. TES normalizes hemodynamics, BP levels, and EF indicators and can be recommended as one of the methods of antihypertensive therapy in young patients. Top Keywords Arterial hypertension, Electrically induced sleep therapy, Physiotherapy, TES therapy. Top |